Organization
LISA M ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN LAWLER (OFF MGR)
(800) 735-8951
Entity
Organization
Contact information
Practice address
25 MARKET ST STE 14, SWANSEA, MA 02777-3998
(774) 327-0060
Mailing address
25 MARKET ST STE 14, SWANSEA, MA 02777-3998
(774) 327-0060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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